Individual
BETHANN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
600 SAINT CLAIR AVE. SW, BUILDING 6, HUNTSVILLE, AL 35801
(256) 533-3314
(256) 533-3384
Mailing address
600 SAINT CLAIR AVE. SW, BUILDING 6, HUNTSVILLE, AL 35801
(256) 533-3314
(256) 533-3384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
980
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51512415
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
10/03/2006
Last updated
12/09/2015
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